Admissions • Fellowship Program

Clinical Lactation Fellowship — Application

Complete every section accurately. Incomplete applications will not be reviewed.

Important Notice

Admission is granted at the sole discretion of the Admissions Committee. Eligibility criteria are minimum requirements only and do not guarantee admission. All information is subject to verification.

1. Personal Information
As per official identification.
Include country code. Digits only, 8–15 digits.
Optional.
2. Educational Qualifications

Begin with the most recent. Add as many as needed.

3. Professional Registrations & Certifications
Registration details below are required only when IBCLC = Yes.
If applicable.
Format: MM/YYYY.
4. Current Employment (optional)

All fields in this section are optional.

5. Clinical Experience in Lactation & Maternal-Infant Care

This section is critical to evaluation. Provide detailed and verifiable information.

5A. Type of Clinical Experience

5B. Notable Case Narratives

Confidentiality: use case codes, not patient names. Describe up to three cases (Case 1 required).

Case 1 *

Case 2 (optional)

Case 3 (optional)

6. Training, Workshops & Continuing Education
7. Research, Publications & Professional Contributions
Optional, but strongly considered in evaluation.
8. Statement of Purpose

Respond to all three parts. Minimum 200, maximum 500 words per part.

Why do you wish to pursue this fellowship? What experiences led you here? What do you hope to achieve?

0 / 200–500 words

Your approach, values and principles guiding lactation practice; how you handle clinical and ethical challenges.

0 / 200–500 words

How will you contribute after the fellowship? Your long-term goals and the change you wish to create.

0 / 200–500 words
9. Letters of Recommendation

Referee 1 is mandatory and must be a direct clinical supervisor. Referee 2 is optional but encouraged. Letters of recommendation must be on official letterhead, signed, and submitted directly by the referee to the admissions email.

Referee 1 *

Referee 2 (optional)

10. Supporting Documents — Uploads
Upload rules
  • Allowed types: PDF, DOC, DOCX, JPG, JPEG, PNG.
  • Maximum 2 MB per file.
  • All files are scanned for type. Executable files are rejected.
  • Use clear filenames (e.g., YourName_CV.pdf).
11. Declaration & Undertaking

I, the undersigned, hereby declare that:

  1. All information provided in this application is true, accurate, and complete to the best of my knowledge.
  2. I understand that any misrepresentation, omission, or falsification of information may result in immediate disqualification or cancellation of admission.
  3. I acknowledge that meeting the eligibility criteria does not guarantee admission, and that the Admissions Committee's decision is final.
  4. I consent to the verification of my credentials, clinical experience, and references by the program authorities.
  5. I agree to abide by the rules, code of conduct, and academic requirements of the CLF Program if admitted.
  6. I understand that admission may be revoked at any stage if information is found to be inaccurate.
Captured automatically on submission.

By submitting, you confirm that all information is accurate and verifiable.